The Impact of Combat Ocular Trauma and Traumatic Brain Injury on Vision- and Health-Related Quality of Life Among U.S. Military Casualties.
Mil Med
; 187(1-2): 209-215, 2022 01 04.
Article
em En
| MEDLINE
| ID: mdl-34117765
ABSTRACT
PURPOSE:
The purpose of this study was to assess visual and health-related quality of life (QOL) among U.S. military service members who sustained combat ocular trauma (COT) with or without associated traumatic brain injury (TBI).METHODS:
This was a single-center, prospective observational study of U.S. service members (n = 88) with COT who were treated at Walter Reed National Military Medical Center. Participants completed the National Eye Institute Visual Function Questionnaire (VFQ-25) at enrollment and at follow-up (>1 year) and supplemental surveys Neurobehavioral Symptom Inventory, the Medical Outcomes 36-item Short Form Survey (SF-36), and Mayo-Portland Adaptability Inventory.RESULTS:
Initial and follow-up VFQ-25 showed a statistically significant increase in median scores for near activities (initial 75.0, follow-up 83.3; P = .004) and peripheral vision (initial 50.0, follow-up 75.0; P = .009) and in composite scores (initial 79.5, follow-up 79.8; P = .022). Comparing those who did (n = 78) and did not (n = 8) have a TBI history, there were no significant differences in median change in VFQ-25 composite scores (with TBI 2.3 vs. no TBI 10.7; P = .179). Participants with a TBI history had a significantly lower median SF-36 General Health score (with TBI 67.5 vs. no TBI 92.5; P = .009).CONCLUSIONS:
Vision-related QOL of COT patients is generally good in the long term. However, those with both COT and a history of TBI conditions showed significantly worse functioning in several domains than those without TBI. As TBI is a common finding in COT, this association is an important factor impacting this population's overall clinical presentation and daily functions.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Traumatismos Oculares
/
Lesões Encefálicas Traumáticas
/
Militares
Tipo de estudo:
Observational_studies
Aspecto:
Patient_preference
Limite:
Humans
Idioma:
En
Revista:
Mil Med
Ano de publicação:
2022
Tipo de documento:
Article